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For many people it's the cost of ingrown toenail removal that keeps them from going to a professional. After cost the next biggest reason why more people don't see a pro is because of a general fear about the pain that can be involved. Ultimately it's most often only after home remedies fail that a majority of people elect to actually seek treatment from a toe doctor to find relief from the problem that can in the worst case scenario lead to dangerous infections.
Most people initially try to solve the problems themselves with a simple set of toenail clippers while cutting their nails. When it becomes apparent that this strategy alone won't be enough to eliminate the problem the next step is to actually look into purchasing products like files and specific ingrown toenail clippers. Generally speaking it's only after exhausting all do it yourself options including topical solutions like Outgro before breaking down and paying and going through the hassle and process of dealing with an actual ingrown toenail doctor.
For the best results in terms of finding a reputable podiatrist ask around for recommendations from friends, coworkers and family. You might be surprised at who's had to deal with similar issues.